GREAT LAKES PEDIATRIC DENTISTRY PLLC
NPI: 1144726506
· FERGUS FALLS, MN 56537
· 1223P0221X
$4.88M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
710 |
$25K |
| 2019 |
8,119 |
$454K |
| 2020 |
7,941 |
$445K |
| 2021 |
10,620 |
$591K |
| 2022 |
12,843 |
$908K |
| 2023 |
16,041 |
$1.25M |
| 2024 |
15,637 |
$1.20M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
9,591 |
2,959 |
$1.74M |
| D1120 |
|
10,347 |
10,264 |
$467K |
| D0120 |
|
10,183 |
10,108 |
$448K |
| D1206 |
|
11,503 |
11,417 |
$384K |
| D3220 |
|
3,154 |
1,489 |
$326K |
| D2391 |
|
3,587 |
1,845 |
$288K |
| D7140 |
|
2,371 |
1,409 |
$254K |
| D0272 |
|
3,948 |
3,926 |
$161K |
| D1351 |
|
3,084 |
975 |
$128K |
| D0140 |
|
2,141 |
2,122 |
$119K |
| D9230 |
|
5,291 |
4,955 |
$118K |
| D1110 |
|
1,129 |
1,126 |
$79K |
| D2392 |
|
728 |
491 |
$76K |
| D2934 |
|
221 |
66 |
$75K |
| D0150 |
|
1,052 |
1,042 |
$61K |
| D1510 |
|
245 |
199 |
$49K |
| D0230 |
|
1,341 |
469 |
$24K |
| D0274 |
|
348 |
345 |
$21K |
| D0220 |
|
867 |
858 |
$20K |
| D0240 |
|
526 |
298 |
$13K |
| D3230 |
|
34 |
13 |
$6K |
| D1330 |
|
119 |
115 |
$5K |
| D2330 |
|
47 |
24 |
$4K |
| D0330 |
|
26 |
26 |
$3K |
| D2332 |
|
16 |
12 |
$2K |
| D1208 |
|
12 |
12 |
$330.84 |